Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Intensive Care Medicine
Published in: Intensive Care Medicine 1/2006

01-01-2006 | Original

Measuring satisfaction in family members of critically ill cancer patients in Brazil

Authors: Renata Rego Lins Fumis, Inês Nobuko Nishimoto, Daniel Deheinzelin

Published in: Intensive Care Medicine | Issue 1/2006

Login to get access

Abstract

Objective

To assess the determinants for satisfaction of cancer patients’ family members with the intensive care unit.

Design

Prospective cohort study.

Setting

A 13-bed intensive care unit in a tertiary cancer centre.

Patients and participants

164 families of consecutive patients with a length of stay greater than 48 h.

Intervention

None.

Measurement

A modified version of the Critical Care Family Needs Inventory was applied and compared with the families’ perception of prognosis, previous information given to them, and patients’ severity of disease (SAPS).

Results

The median score of the questionnaire was 11 (2–14), and the cut-off for satisfaction was established at 9 (1st quartile). SAPS >41 was associated with lower satisfaction [(p<0.05, chi-square, OR 2.49 (CI 1.1–5.4)]. When those interviewed surmised a prognosis different from the final outcome [p<0.05, chi-square, OR 2.70 (1.2–6.0)], a significant association with dissatisfaction was found.

Conclusion

More discussion about prognosis may improve the level of satisfaction of cancer patients’ family members with the intensive care unit.
Appendix
Available only for authorised users
Literature
1.
Kress JP, Christenson J, Pohlman AS, Linkin DR, Hall JB (1999) Outcomes of critically ill cancer patients in a university hospital setting. Am J Respir Crit Care Med 160:1957–1961PubMed
2.
Staudinger T, Stoiser B, Mullner M, Locker GJ, Laczika K, Knapp S, Burgmann H, Wilfing A, Kofler J, Thalhammer F, Frass F ( 2000) Outcome and prognostic factors in critically ill cancer patients admitted to the intensive care unit. Crit Care Med 28:1322–1328CrossRefPubMed
3.
Studnicki J, Schapira DV, Straumfjord JV, Clark RA, Marshburn J, Werner DC (1994) A national profile of the use of intensive care by Medicare patients with cancer. Cancer 74:2366–2373PubMed
4.
Molter NC (1979) Needs of relatives of critically ill patients: a descriptive study. Heart Lung 8:332–339PubMed
5.
Johnson D, Wilson M, Cavanaugh B, Bryden C, Gudmundson D, Moodley O (1998) Measuring the ability to meet family needs in an intensive care unit. Crit Care Med 26:266–271CrossRefPubMed
6.
Heyland DK, Rocker GM, Dodek PM, Kutsogiannis DJ, Konopad E, Cook DJ, Peters S, Tranmer JE, O’Callaghan CJ (2002) Family satisfaction with care in the intensive care unit: results of a multiple center study. Crit Care Med 30:1413–1418CrossRefPubMed
7.
Azoulay E, Pochard F, Chevret S, Lemaire F, Mokhtari M, Le Gall JR, Dhainaut JF, Schlemmer B; French FAMIREA Group (2001) Meeting the needs of intensive care unit patient families: a multicenter study. Am J Respir Crit Care Med 163:135–139PubMed
8.
Azoulay E, Pochard F, Chevret S, Jourdain M, Bornstain C, Wernet A, Cattaneo I, Annane D, Brun F, Bollaert PE, Zahar JR, Gldgran-Toledano D, Adrie C, Joly LM, Tayoro J, Desmettre T, Pigne E, Parrot A, Sanchez O, Poisson C, Le Gall JR, Schlemmer B, Lemaire F (2002) Impact of a family information leaflet on effectiveness of information provided to family members of intensive care unit patients: a multicenter, prospective, randomized, controlled trial. Am J Respir Crit Care Med 165:438–442PubMed
9.
Wasser T, Pasquale MA, Matchett SC, Bryan Y, Pasquale M (2001) Establishing reliability and validity of the critical care family satisfaction survey. Crit Care Med 29:192–196CrossRefPubMed
10.
Heyland DK, Tranmer JE, Kingston General Hospital ICU Research Working Group (2001) Measuring family satisfaction with care in the intensive care unit: the development of a questionnaire and preliminary results. J Crit Care 16:142–149CrossRefPubMed
11.
Deheinzelin D, Nishimoto IN, Fumis RLL (2004) Determinants of family satisfaction with the intensive care unit. A prospective study Am J Respir Crit Care Med 169:A39
12.
Le Gall JR, Lemeshow S, Saulnier F (1993) A new Simplified Acute Physiology Score (SAPS II) based on a European/North American multicenter study. JAMA 270:2957–2963CrossRefPubMed
13.
Beaton DE, Bombardier C, Guillemin F, Ferraz MB (2000) Guidelines for the process of cross-cultural adaptation of self-report measures. Spine 25:3186–3191CrossRefPubMed
14.
Azoulay E., Chevret S, Leleu G, Pochard F, Barboteu M, Adrie C, Canoui P, Le Gall JR, Schlemmer B (2000) Half the families of intensive care unit patients experience inadequate communication with physicians. Crit Care Med 28: 3044–3049CrossRefPubMed
15.
Burns JP, Mello MM, Studdert DM, Puopolo AL, Truog RD, Brennan TA (2003) Results of a clinical trial on care improvement for the critically ill. Crit Care Med 31:2107–2117CrossRefPubMed
16.
Bernat Adell MD, Tejedor Lopez R, Sanchis Munoz J (2000) How well do patients’ relatives evaluate and understand information provided by the intensive care unit? Enferm Intensiva 11:3–9PubMed
17.
Bland J M, Altman DG (1997) Statistics notes: Cronbach’s alpha. Br Med J 314:572
18.
The SUPPORT Principal Investigators (1995) A controlled trial to improve care for seriously ill hospitalized patients. The study to understand prognoses and preferences for outcomes and risks of treatments (SUPPORT). JAMA 274:1591–1598CrossRefPubMed
19.
Malacrida R, Bettelini CM, Degrate A, Martinez M, Badia F, Piazza J, Vizzardi N, Wullshleger R, Rapin CH (1998) Reasons for dissatisfaction: a survey of relatives of intensive care patients who died. Crit Care Med 26:1187–1193CrossRefPubMed
20.
Myhren H, Ekeberg O, Langen I, Stokland O (2004) Emotional strain, communication, and satisfaction of family members in the intensive care unit compared with expectations of the medical staff: experiences from a Norwegian University Hospital. Intensive Care Med 30:1791–1798CrossRefPubMed
21.
Hickey M (1990) What are the needs of families of critically ill patients? A review of the literature since 1976. Heart Lung 19:401−415PubMed
Metadata
Title
Measuring satisfaction in family members of critically ill cancer patients in Brazil
Authors
Renata Rego Lins Fumis
Inês Nobuko Nishimoto
Daniel Deheinzelin
Publication date
01-01-2006
Publisher
Springer-Verlag
Published in
Intensive Care Medicine / Issue 1/2006
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-005-2857-0

Other articles of this Issue 1/2006

Intensive Care Medicine 1/2006 Go to the issue

Review

Echocardiography in the critically ill: current and potential roles

Editorial

Statins: the next step in adjuvant therapy for sepsis?

Original

Biochemical parameters of bronchoalveolar lavage fluid in fat embolism

Correspondence

Mechanical ventilation for patients with ARDS: a UK survey on calculation of tidal volume

Experimental

The effect of N-acetylcysteine on posttraumatic changes after controlled cortical impact in rats

Seminal Study

Ventilator-induced lung injury: from the bench to the bedside